Individual
MIA S MARQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1810 GOLDEN OAK LN, MADISON, WI 53711-3311
(608) 471-8570
Mailing address
1810 GOLDEN OAK LN, MADISON, WI 53711-3311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2144-124
WI
225X00000X
Occupational Therapist
3374-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3374-26
OT
WI
Enumeration date
08/01/2006
Last updated
09/16/2025
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